Can testosterone cream help with vaginal atrophy?
Testosterone cream is not routinely recommended for vaginal atrophy. Current evidence suggests oestrogen therapies are most effective, but testosterone may be considered for sexual dysfunction or low libido alongside atrophy in select cases.
Detailed Medical Explanation
Testosterone therapy can improve sexual desire and arousal in postmenopausal women with hypoactive sexual desire disorder, but it is not specifically indicated for vaginal atrophy. Evidence for its benefit in improving vaginal tissue health is limited, and safety data are still being collected. It should be used only under specialist guidance. NHS: Testosterone in Women.
Clinical Context
Testosterone cream may be considered for low libido, not atrophy itself. Oestrogen remains the primary treatment for vaginal atrophy.
Evidence-Based Approaches
UK and international guidelines do not routinely recommend testosterone for atrophy but do support its use for sexual dysfunction after menopause. RCOG: Testosterone Use in Women.